SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
Term (e.g., Fall 200X)
Meeting times and location
IMED 902-00R Physical Medicine and Rehabilitation
Year Round
It is student’s responsibility to contact the preceptor one week prior to the
scheduled start date to find out when and where to report on first day.
Course Description and Prerequisites
https://medicine.tamhsc.edu/elective/2015-16/imed/rr/index.html
This two to four week elective will allow fourth year medical students to familiarize themselves with the
specialty of Physical Medicine and Rehabilitation if they are considering it as a possible career specialty.
It will familiarize fourth year medical students with an inpatient and outpatient PM&R program and the
treatment of complex neuromuscular and musculoskeletal problems. In addition, it will familiarize the
student with a concept of interdisciplinary teams, and to help understand the appropriate and cost
effective use of allied health therapies. Lastly, it will familiarize the student with the allied therapies
including physical, occupational, speech and recreational therapy, prosthetics and orthotics.
Instructor Information
Elective Director
Heather Fullerton M.D.
Name
512-509-0200
Telephone number
hfullerton@sw.org
Email address
Office hours
Office location
By Appointment
302 University
Boulevard
Round Rock, TX 78665
Coordinator
Natalie Washburn
Name
512-341-4960
Telephone number
Washburn@medicine.t
Email address
amhsc.edu
M-F / 8-5
Office hours
3950 N. AW Grimes,
Office location
3rd Floor
Round Rock, TX 78665
Learning Outcomes & Objectives
Objectives:
The student will work with the attending physician in evaluating consults and managing inpatients on the
Inpatient Rehabilitation Unit. The student will formulate progress notes and orders of assigned patients.
The student will work with the attending physician in evaluating new patients and follow-up patients in
the outpatient setting. There will be individual discussions provided by the PM&R staff and the student
will participate in interdisciplinary Team Conferences held on inpatients. The student will visit Physical
Therapy, Occupational Therapy, Speech Pathology, and Prosthetics and preferably follow-up with
patients who are obtaining therapies. The student will be able to accompany attending physicians to
outlying regional clinics if interested.
Upon completion of the course, students will be able to:
1. Understand and appreciate the anatomy and physiology of the central and peripheral nervous system
as well as muscular system.
2. Understand basic management and rehabilitation, and treatment of patients after stroke, traumatic
brain injury, or spinal cord injury
3. Appreciate and understand the medical problems encountered by (and often specific to)
traumatic brain injury, spinal cord injury, or stroke
4. Provide primary conservative care of common musculoskeletal problems, including understanding
when soft tissue, joint, bursal, or spinal injections are appropriate. There may be the opportunity to
perform some procedures under supervision.
Date Created/Revised: 5/1/2015 By: NW
5. Understand the initial workup and appropriate use of imaging techniques for musculoskeletal
problems
6. Refine the skills with regards to history and physical examination of neuromusculoskeletal problems.
7. Understand the uses and possible misuses of allied health therapies and appreciate what are
appropriate or inappropriate referrals.
8. Observe electrodiagnositc studies and understand their potential benefits and limitations.
COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academicaffairs/curriculum/objectives/
Principles and Guidelines for Curriculum Development:
http://medicine.tamhsc.edu/policies/pdf/curriculum-principles-guidelines.pdf
Course Objective:
1. Understand and appreciate the
anatomy and physiology of the
central and peripheral nervous
system as well as muscular system.
2. Understand basic management
and rehabilitation, and treatment of
patients after stroke, traumatic brain
injury, or spinal cord injury
3. Appreciate and understand the
medical problems encountered by
(and often specific to) traumatic
brain injury, spinal cord injury, or
stroke
4. Provide primary conservative
care of common musculoskeletal
problems, including understanding
when soft tissue, joint, bursal, or
spinal injections are appropriate.
There may be the opportunity to
perform some procedures under
supervision.
5. Understand the initial workup
and appropriate use of imaging
techniques for musculoskeletal
problems
6. Refine the skills with regards to
history and physical examination
of neuromusculoskeletal problems.
7. Understand the uses and
possible misuses of allied health
therapies and appreciate what are
appropriate or inappropriate
referrals.
8. Observe electrodiagnositc
studies and understand their
potential benefits and limitations
COM Competency
Based Learning
Objectives
(CBLO):
Taught (T)
and/or
Evaluated (E):
MK1 MK2
Taught AND
Evaluated
Multisource
Assessment
(360 eval)
PC15, SBP1,
PROF 6, ICS3,
PC4
Taught AND
Evaluated
Multisource
Assessment
(360 eval)
PROF 3, SBP7,
ICS3
Taught AND
Evaluated
Multisource
Assessment
(360 eval)
ICS3, PC15, PC10,
PC4, PC9
Taught AND
Evaluated
Multisource
Assessment
(360 eval)
PC14, PC5
Taught AND
Evaluated
PC1, PC2, ICS1
Taught AND
Evaluated
SBP5, SBP7,
PROF 6
Taught AND
Evaluated
PC14 PC5
Taught AND
Evaluated
Textbook and/or Resource Material
Date Created/Revised: 5/1/2015 By: NW
Evaluation:
Multisource
Assessment
(360 eval)
Multisource
Assessment
(360 eval)
Multisource
Assessment
(360 eval)
Multisource
Assessment
(360 eval)
1. Title: "PM&R Secrets" by Mark A., Md Young (Author), Steven A., MD Stiens(Author), Bryan O'Young
(Editor)
2. Literature assignments by the faculty regarding selected patients and clinical problems
Course materials are available online 24/7 in TAMU online library.
Grading Policies
GRADING SCALE
Satisfactory
70-100
Unsatisfactory
69 and below
Should the course director determine remediation is required, the remediation plan will be at the
discretion of the course director and on a case by case basis depending on the issues involved.
Remediation plans could entail some (or all) of the following examples: Additional clinical shifts,
research papers, presentations, article reviews, exams, directed reading, web-based modules, etc. If the
student performance results in a failure of the elective, it will be recommended that the elective be taken
again in its entirety.
Attendance and Make-up Policies
TAMHSC – COM student handbook states: Students who miss more than 20% of a 4th year
elective for any reason (2 weekdays during a two-week rotation or 4 weekdays for 4 week
rotation) will require a remediation plan. To request an absence all students must use the online
Phase IV Absence Form at: http://medicine.tamhsc.edu/current/absence-forms/m4absence.html For further information please refer to page 21 in the student handbook:
http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
Course Topics, Calendar of Activities, Major Assignment Dates
** Students will follow the schedule of the attending.
Week
Topic
Required Reading
Other Pertinent Course Information
The development and maintenance of a professional attitude is an ongoing responsibility of
each student. Professional behavior is expected at all times. All students will be expected to
dress in an appropriate manner, convey a professional appearance or image, and are encouraged
to be neat and clean. For further information please see Student Code of Conduct requirements
here: http://medicine.tamhsc.edu/dean/policies/student-policies/student-code-conduct.html
Americans with Disabilities Act (ADA)
The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides
comprehensive civil rights protection for persons with disabilities. Among other things, this legislation
requires that all students with disabilities be guaranteed a learning environment that provides for
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reasonable accommodation of their disabilities. If you believe you have a disability requiring an
accommodation, please contact Disability Services, in Cain Hall, Room B118, or call 845-1637. For
additional information visit http://disability.tamu.edu
Any student with a disability who needs accommodation should inform the instructor at the beginning of
the course.
Academic Integrity
For additional information please visit: http://aggiehonor.tamu.edu
“An Aggie does not lie, cheat, or steal, or tolerate those who do.”
College of Medicine
Professionalism and integrity Statement (Academic Honesty and Plagiarism)
All College of Medicine students are required to comply with the student code of conduct and the academic integrity and
honesty standards published in each component’s Student Handbook. Disciplinary action will be taken in accordance with
the policies of each component. Students found guilty of Academic Dishonesty will receive an “F”/Unsatisfactory in the
course. For a full list of actions qualifying as academic dishonesty, please review the College of Medicine Student
Handbook at http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf.
According to the Aggie Honor System Office, plagiarism is defined as the appropriation of another person's ideas,
processes, results, or words without giving appropriate credit. Intentionally, knowingly, or carelessly presenting the work of
another as one’s own (i.e., without crediting the author or creator). Plagiarism and other academic misconduct definitions
can be viewed on the Aggie Honor System Office website;
http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions.
E-mail Access and FERPA
The College of Medicine is communicating all official information to students through the students’ TAMHSC e-mail
accounts. Please check the account frequently during the semester for updates.
This course is supported with web-based and/or e-mail activities. In order to take advantage of these additional resources
and participate fully in the course, you have been assigned an e-mail address by the Texas A&M Health Science Center.
This e-mail address is for internal use only, so that faculty may communicate with you and the entire class. By registering
for this course, you are agreeing to allow your classmates to have access to this e-mail address. Should you have any
questions, please contact the TAMU’s Office of the Registrar at 979-845-1031.
The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is intended to protect the
privacy of education records, to establish the rights of students to inspect and review their education records and to
provide guidelines for the correction of inaccurate or misleading data through informal and formal hearings. Students also
have the right to file complaints with the Family Educational Rights and Privacy Act Office of the Department of Education
in Washington, D.C., concerning alleged failures by the HSC to comply with the act.
Mistreatment of Students
The College of Medicine is committed to providing a positive learning environment in which students can meet their
academic goals based on mutual respect in the teacher/learner relationship. Both parties must be sensitive to the needs
of others and differences in gender, race, sexual orientation, religion, age or disability. As outlined in the Student
Handbook under the section titled Standards of Conduct in the Teacher-Learner Relationship, belittlement, intimidation
and humiliation are unacceptable for effective learning and undermine self-esteem. Breaches involving student
mistreatment may result in a faculty or staff member being sanctioned or the loss of faculty and/or staff appointment.
These policies address student mistreatment involving College of Medicine employees, residents, affiliate staff, or
patients. Mistreatment may be reported through the College of Medicine telephone hotline, 1(855)-397-9835 or through
an online form at http://medicine.tamhsc.edu/current/student-mistreatment-form.html. For a full list of reporting avenues,
please refer to the Student Handbook under the Mistreatment Policy.
Date Created/Revised: 5/1/2015 By: NW
Exposure and Occupational Hazard
The Needle Stick Policy and Bloodborne Pathogen Exposure information for Medical Students may be accessed in the
Student Handbook at: http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
Note: More information is available on the aforementioned topics to all students on the College of Medicine website.
Date Created/Revised: 5/1/2015 By: NW